基于“致中和”探析从脾胃论治抑郁症的机制  

Explore the mechanism of treating depression from spleen and stomach based on“neutralization”

作　　者：魏思维 张景明[1] 李影琳芝 王爽  WEI Siwei;ZHANG Jingming;LI Yinglinzhi;WANG Shuang;KWON MIN HO(Shaanxi University of Chinese Medicine,Xianyang 712046,China)

机构地区：[1]陕西中医药大学,陕西咸阳712046

出　　处：《陕西中医》2023年第9期1269-1272,共4页Shaanxi Journal of Traditional Chinese Medicine

基　　金：陕西省中医体质与疾病防治研究重点实验室建设项目[陕科基发(2012)1号];陕西省中医药管理局中医藏象理论重点实验室建设项目(SZDYJS-2)。

摘　　要：中和"思想是儒家思想的核心,它贯穿于中医学的理、法、方、药。抑郁症是一种常见高发的精神心理性疾病,可将其归属于中医学“郁证”范畴。文章在“中和”思想指导下,提出了脾胃功能的正常是以“致中和”为基础,分析了抑郁症的发病与脾胃失其“中和”所致的意伤思乱、纳运失常、升降失宜、经络失衡密切相关。故临床治疗需以“致中和”为目的,通过健脾益气,调理中焦气机,并配合心理疏导、语言劝慰、移情易性,使情志调和。The idea of“neutralization”is the core of Confucianism,which runs through the principles,methods,formulas and medicines of traditional Chinese medicine.Depression is a common and high incidence of mental and psychological diseases,which can be classified as“depression syndrome”in traditional Chinese medicine.Under the guidance of the idea of“neutralization”,this article proposes that the normal function of the spleen and stomach is based on“achieving neutralization”,and analyzes the occurrence of depression as closely related to the loss of“neutralization”in the spleen and stomach,resulting in emotional disturbance,abnormal digestion,inappropriate ascending and descending,and imbalances in the meridians.Therefore,clinical treatment should aim to achieve“neutralization”by strengthening the spleen and qi,regulating the the middle-jiao qi engine,and combining psychological counseling,verbal reassurance and empathy to achieve emotional harmony.

关 键 词：“致中和”思想 脾胃 抑郁症 郁证 健脾益气 调畅气机 

分 类 号：R749.41[医药卫生—神经病学与精神病学]